Organization Active NPI

St. Charles Health & Wellness, Inc.

  • Physical Therapy Clinic/Center
  • Homestead, FL
National Provider Identifier
1003109281
Registry record updated May 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
CH6724 Issued in FL
Legal business name
ST. CHARLES HEALTH & WELLNESS, INC.
Practice address
15260 SW 280TH St
Suite 105
Homestead, FL 33032-8185
Phone
(305) 242-5331
Fax
(305) 242-5334
NPI assigned
May 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carlos M Gonzalez, D.C.
Title
Owner/President
Phone
(305) 242-5331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CH6724 FL Primary

Addresses

Primary practice location

15260 SW 280TH St
Suite 105
Homestead, FL 33032-8185

Mailing address

15260 SW 280TH St
Suite 105
Homestead, FL 33032-8185
Phone (305) 242-5331

National Provider Directory

National Provider Directory

Locations

15260 SW 280th St
Ste 105
Homestead, FL 33032
Phone (305) 242-5331

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306022400000",
    "number": "1003109281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15260 SW 280TH ST",
            "address_2": "SUITE 105",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328185",
            "telephone_number": "305-242-5331",
            "fax_number": "305-242-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 SW 280TH ST",
            "address_2": "SUITE 105",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328185",
            "telephone_number": "305-242-5331",
            "fax_number": "305-242-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES HEALTH & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-22",
        "last_updated": "2011-05-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-242-5331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "CH6724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.